La Libertad Medical Clinic Inc
NPI 1295887024ActiveOrganization· General Practice· South Gate, CA
General Practice in South Gate, California, registered in NPPES in January 2007. The authorized official on file is Ricardo E. Chambi, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295887024 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 18, 2007 |
| Last updated in NPPES | Sep 24, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | A45384 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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